Preston Health Care Services LLC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

62752 Issued in WV

Legal business name

PRESTON HEALTH CARE SERVICES LLC

Practice address

1343 N Preston Hwy
Kingwood, WV 26537-7633

Phone

(304) 441-2001

NPI assigned

Sep 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Robin L Goodwin, RNNPI 1598058836

Title

Owner/Registered Nurse

Phone

(304) 441-2001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Preston Healthcare Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preston Healthcare Services LLC

  • Ambulatory Family Planning Facility
  • Kingwood, WV
  • NPI 1609299908
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Louise Goodwin, C-FNP

  • Family Nurse Practitioner
  • Kingwood, WV
  • NPI 1598058836
  Medicare reassignment Care Compare group NPD Authorized official
• Courtney Christine Swisher, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Kingwood, WV
  • NPI 1922624170
  Medicare reassignment Care Compare group NPD
• Leeann Buzzerd

  • Family Nurse Practitioner
  • Kingwood, WV
  • NPI 1801242714
  Medicare reassignment NPD
• Sharon Marie Titchnell, PA-C

  • Physician Assistant
  • Morgantown, WV
  • NPI 1407137706
  Medicare reassignment
• Julie A Gower, LSW

  • Social Worker
  • Kingwood, WV
  • NPI 1265040927
  NPD
• Jenniffer Ridgeway, FNP-C

  • Family Nurse Practitioner
  • Kingwood, WV
  • NPI 1780978783
  NPD
• Anne Snyder

  • Family Nurse Practitioner
  • Kingwood, WV
  • NPI 1447887203
  NPD
• Tabitha Rynn Clark, CNP

  • Primary Care Nurse Practitioner
  • Arthurdale, WV
  • NPI 1124762695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1811220643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265370025",
            "telephone_number": "304-441-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N PRESTON HWY",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265377633",
            "telephone_number": "304-441-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/REGISTERED NURSE",
        "authorized_official_telephone_number": "304-441-2001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WV",
            "license": "62752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston County Senior Citizens, Inc.
• Preston County Senior Citizens, Inc.
• Preston County Senior Citizens, Inc.
• Preston Dental Care PLLC
• Preston Family Health Center LLC
• Preston Healthcare Services LLC
• Preston Memorial Homecare, LLC
• Preston Memorial Hospital Corporation
• Preston Memorial Hospital Corporation
• Preston Memorial Hospital Corporation

• Family Health Clinical Nurse Specialist in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Family Health Clinical Nurse Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.